Active NPI
Melody Beth Caldwell, PSYD
- Psychologist
- Canonsburg, PA
National Provider Identifier
1124789698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS019482
- Practice address
- 6000 Town Center Blvd Ste 142
Canonsburg, PA 15317-5833 - Phone
- (724) 249-2829
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS019482 | PA | Primary |
Addresses
Primary practice location
6000 Town Center Blvd Ste 142
Canonsburg, PA 15317-5833
Mailing address
4953 E Willock Rd
Pittsburgh, PA 15227-3659
Phone (412) 350-8698
Other practice location 1
3495 Butler St Ste 3
Pittsburgh, PA 15201-1375
Phone (412) 857-3717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UNKNOWN | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | unknown | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019482 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samkirk LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Pittsburgh, PA
- NPI 1316563331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1124789698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4953 E WILLOCK RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152273659",
"telephone_number": "412-350-8698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 TOWN CENTER BLVD STE 142",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153175833",
"telephone_number": "724-249-2829"
}
],
"practiceLocations": [
{
"address_1": "3495 Butler St Ste 3",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152011375",
"country_code": "US",
"telephone_number": "412-857-3717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALDWELL",
"first_name": "MELODY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS019482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UNKNOWN",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "unknown",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6000 Town Center Blvd Ste 142",
"city": "Canonsburg",
"state": "PA",
"country_code": "US",
"postal_code": "153175833",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.